Active NPI
Marvin E Greenberg MD PA
- Ophthalmology Physician
- Tamarac, FL
National Provider Identifier
1629034616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- ME36221
- Legal business name
- MARVIN E GREENBERG MD PA
- Practice address
- 7421 N University Drive
Suite 109
Tamarac, FL 33321-2952 - Phone
- (954) 726-2080
- Fax
- (954) 726-2105
- NPI assigned
- Apr 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marvin E Greenberg, MD
- Title
- President
- Phone
- (954) 726-2080
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ME36221 | FL | Primary |
Addresses
Primary practice location
7421 N University Drive
Suite 109
Tamarac, FL 33321-2952
Mailing address
7421 N University Drive
Suite 109
Tamarac, FL 33321-2952
Phone (954) 726-2080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 79535 | Other | FL | BLUE SHIELD OF FLORIDA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202342400000",
"number": "1629034616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7421 N UNIVERSITY DRIVE",
"address_2": "SUITE 109",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333212952",
"telephone_number": "954-726-2080",
"fax_number": "954-726-2105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7421 N UNIVERSITY DRIVE",
"address_2": "SUITE 109",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333212952",
"telephone_number": "954-726-2080",
"fax_number": "954-726-2105"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARVIN E GREENBERG MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-26",
"last_updated": "2008-02-07",
"status": "A",
"authorized_official_last_name": "GREENBERG",
"authorized_official_first_name": "MARVIN",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-726-2080",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME36221",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF FLORIDA",
"identifier": "79535",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tamarac, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.